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Home My WebLink AboutPermit Electrical 2007-6-15 '. ~~\s' J1 . (p<!. ' .,~., ,. 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION , / _ ;:: City Job Number COA-f ZOO! - 00 ~ate f::;/ ;' 'l 0 ' . 1. ~Lo-700ioNJj~ThTsTAtEAlwm.~1D. ~~;;l1"-1.:"~.~\o.~W~'._ ~:~Itrt"'!~1'T~=--:.o;~~Y~I.~.;tl"~eer~. ~ ;';'W~~ r--~iL""~~~~-~:M'.'~-"'~"~'l:;~~~.M~"..,n 3. ~q!1.~~IdGLli~~~~~~If.pJ2{1J&;!!1a:~~~~~~"''eh ..:i Z I :> u L;"'vLA- -IT <7 LEGAL DESCRIPTiON j7C3Z7fD JOB DESCRIPTION oC(C(CO ~;.~..;.~~~~~.0'.:t>>1~.VlWm:"::;'~~~<ol;''''~'''~!~I''~;'~I' , A. ,;~N.~1\('R"siilential'7Single:or;)\1u1ti,Famil)', pedb,'ellirig;unit.~ " .~..$~~~'.':.I.'~';:'"~ -'-~~J'.:.~~~'.:c.t:.:l.~~'.-~~~:r..\:.. >>/ If St:'vt V i u:-"' Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or , portion thereof $106.00 $ 19.00 . City Sorinqfield PermitS are non-transferable and e~ire if work is. Each Manufact'd Home or not started within 180 days o1f.l&\!Ahcli or if work is ' . Modular Dwelling Service or Suspended for 180 days. THIS PERMIT SHALL EXPIREF~edg.1: Wl1', :. ' , . PF.f.\r .~ "" , 2 ' ~NTAA{~rL~~~ THISBO.'I'Set.=W~'F~~~t;\'"il1f',tflim:.f:,irw;tif~Qf~loca{ion:', ~ . ~",,,,..,..,,,,,,,,,,~ '. c1m"lt~ABANU " . '..,.,..." ".~....,;~_.",,.,,..,,,,,,,,,.,~. Electrical Contractor L. R. @J\a9~1lll!.o.Y il'n~IOD. 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 ReconneCt Only $ 50.00 / , $50,00 SL) Address 68 West "Q" Street Phone 747-6638 SuperVisor LIcense Number 49'44-5 !i.~,~"""""","",..",,,-, ' c: ~l.'.lg"oJi..ry;$.e~_'lc~!.~l1t'2r Expirntion Date 10/01/07 Installation, AlteratioI.1 o~ Reloc~~.?n 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps' $ 50.00 $ 69.00 $100.00 Constr. Contr. Number 8699 Expirntion Date 12/18/06 Over 600 Amps or 1000 Volts see "B" above. " ' Signature of Supervising Electrician ATTENT/ONPO ~f&;j~'l:'m~~~ ./' R /' / ",' do"owruies~d~~rM~'HfiPClP~gm?effi!r,~perpanel ("'{ ~y' , ...".~ /i~otlflcatlon CentGlle'P~ rules are set fq(th $ 43.00 - t7 In UAR 952-001-00q~~I6~~:~trt_ . . O~ers Name iJlj..1( '--h..< c:. -t- O[1DC'ou may ~'C~gsdSf ffflrf~les by $ 0.00 / - .~ the cen~~~'Ul,~m'g~,...",~,~""","",~~~~ ,Address '2 ( )'''1 Clrt; Ii LI\!nlJmber for tt'& ~t~~J4'~~~"!~e!i~.s~~1~~~cJ!L!nS~1I~.t1'lli"l City .I-U~-(:::71ltf"Phone '3 C(ff- 7.?f~ter i~J~~og-r~a?t-ag4). $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial, $ 45.00 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges, 4.f,SUB,1.:3T~if!Wo"Till~~\t.~~ ' 5'(/ ~~<t~.,,~~!:t~Jffa.\:1l'~ Ji!./o State Surcharge V 10% Administrative Fee ....... ...-.... .' ~ so/.: /' / r=-,__ , -';0 TOTAL" Te-t.t 0 --- ~ Owners Signature: Inspection Request: 726-3769 Shared Dnve(T:)/Building FonnslElectricnl Permit Application 1..o3.doc cc..-IJ It NOlP exP/lffl /7'l~O . . Lit ~ OF ~rKll~GFIELD. Building/Combination Permit PERMIT NO: COM2007-00884 ISSUED: 06/15/2007 APPLIED: 06/15/2007 EXPIRES: 12115/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2150 LAURA ST SPACE 9 ASSESSOR'S PARCEL NO.: 1703271004400 Springfield TYPE OF WORK: Mannfactured Home in Park TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactiured home in park Owner: MOUNTAIN TRUST LLC Address: 2154 LA W LANE EUGENE OR 97401 Phone Numher: 541-344-9249 Contractor Type Electrical Manuf Home Inst Plumbing I CONTRACTOR INFORMATION I Contractor License LR BRABHAM 8699 SUNBURST CONTEMPORARY HOMES 58756 SUNBURST CONTEMPORARY HOMES INC 58756 BUILDING INFORMATION I Expiration Date 12118/2010 03/09/2009 03/09/2009 Phone 541-747-6638 541-461-6541 541-461-6541 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Hei!R'~f Structure: , Typ~e of.:Heat: c.:. \\.,. ('I.' VB .~-I-tWater TYpe:\, c..v ,0' ,C' "'~ \0 ~oRange'T)(pe: '<;l'\ \'I>-~ e,o E~rgyS'Path'? f:' >is' ~'9.-",,' ,~.<'> '0'00.>. '<;l'\ '0 \V- :>rrin~l.ed u"l,IillI~.I!; A'\ ,..v ...C) .r\\ _\~ _nO "'~ (\\0,",:: 'l>-OO~~\.1 :'DEVEllOPMENOf,:iNFORMA nON I ~-<,,~~ \~6' ci~; ~ 50'0 '~7;.'0 ~~0\.'U0~""\'O"""" ~ o~ . 0<:- ,,() o~ ~ """. I"') D' O~ ~'I$ n'" ,\ .'0\. ("Her ay 1st: Ii . (,~ S'" '1>-'> ;<::0' 6' ,v~ 00-' ~ C!j x; <:0 (,6 0\ #6Street Trees Rqd: ~ O~" -\.0 .:;s-e .:;s-e ',~ ~Paved Drive Rqd: 'f:' ,,' ~ ~ ~ '()IJC!j ~,<:- '0\\0 ",\.'0' % of Lot Coverage: (,'0 ~'<;l cp "v R-3 . Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: ~ Compact:~C\)~ \\ ,\~Y.. ~C\) X-.\~ ~{o .,,\~ -('\~ ,"~ i PUBLIC IMPROVEMENTS I. ~\.\:~-~~\'O '( ~C\)~Y..'V ' ..~. ,"" c..'0 <..~ ...~\j /,\",\\.1 Sid~\Yal~\J;y'pe: ...'Qr \\\)' v'?>' \\ v\. ,'0 r ' ",c. '<Dowrlspoutsfurains:. ,\\\\'" to"<'" X-.'V ~ '?>\V- ':0'\Y' X-.~\J ~ ,<S ~ to'<}.~ ~ \j'l' C; 1l, \~ ~~ Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee I of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00884 ISSUED: 06/15/2007 APPLIED: 06/15/2007 EXPIRES: 12/15/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valu~tion Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp< P..irl I $25.50 $12.75 $20.40 $30.00 $45.00 $160.00 $50.00 6/15/07 6/15/07 6/15/07 6/15/07 6/15/07 6/15/07 6/1 5/07 Receipt Number 2200700000000000967 2200700000000000967 2200700000000000967 2200700000000000967 2200700000000000967 2200700000000000967 2200700000000000967 Fee Description + 10% Administrative Fee + 5% Tecbnology Fee + 8% State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Placement Manufactured Home Service Amount Paid Date Paid Total Amount Paid $343.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Ue{JllirerUnsne~tions I Manuf Home Set Up: When installation of all piers or stands is complete. Final Manuf Home Set Up: After all required inspections are requested and approved and porcbes, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. Manuf Home Plumbing: After home has been connected to water and sewer. MH Service: Approval required prior to utility company energizing service. Paee 2 of 3 -~- - Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00884 ISSUED: 06/15/2007 APPLIED: 06/15/2007 EXPIRES: 12/15/2007 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereou is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during cons ucti . (l!:.;'n".~...." Pa~e 3 of 3 0~ 10- 0) Date 225 Fift~ Street Springfield, Oregon 97477 541-726-3759 Phone . ii=ii. l1Ii: .' .,' . <.;Il of Springfield Official Receipt .elopment Services Department Public Works Department Job/Journal Number COM2007-00884 COM2007-00884 COM2007-00884 COM2007-00884 COM2007-00884 COM2007-00884 COM2007-00884 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000000967 Date: 06/15/2007 Description Manufactured Home Placement Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Service + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MOUNTAIN TRUST LLC Item Total: <':heck Number Authorization Received By Batch Number Number How Received djb 1715 In Person Payment Total: . Page I of I 11:30:47AM Amount Due 160.00 30.00 45.00 50.00 12.75 20.40 25.50 $343.65 Amount Paid $343.65 $343.65 6/15/2007